Nordisk tidsskrift for helseforskninghttp://septentrio.uit.no/index.php/helseforsk
er i f&oslash;rste rekke ment som et tilbud til undervisnings- og forskningspersonalet ved institusjoner i Norden som driver med helsefagutdanning.&nbsp;Tidsskriftet vil holde en bred faglig profil som reflekterer forsknings- og utviklingsarbeid ved Nordiske helsefagutdanninger og tilh&oslash;rende praksisfelt.no-NOForfattere som publiserer i dette tidsskriftet aksepterer f&oslash;lgende vilk&aring;r: <ol type="a"><li>Forfattere beholder opphavsretten til sine verker, og gir tidsskriftet rett til f&oslash;rste publisering av verket, som samtidig lisensieres under en <a href="http://creativecommons.org/licenses/by/3.0/" target="_new"><span style="color: #337755;">Creative Commons Attribution License</span></a> som tillater andre &aring; dele verket under forutsetning av at opphavsmannen og den opprinnelige publiseringen krediteres.</li><li>Opphavsmenn kan inng&aring; separate tilleggsavtaler om ikke-eksklusiv distribusjon av den publiserte utgaven av sine artikler (f.eks. avgi den til et institusjonelt vitenarkiv) s&aring; lenge&nbsp;dette tidsskriftet blir kreditert som f&oslash;rste utgiver.</li><li>Opphavsmenn tillates og oppmuntres til &aring; gj&oslash;re sine verk tilgjengelig p&aring; internett (f.eks. i institusjonelle vitenarkiver eller p&aring; egne hjemmesider) f&oslash;r og under behandlingen av manuskriptet i tidsskriftet, da dette kan lede til fruktbare meningsutvekslinger s&aring;vel som til tidligere og mer sitering av verkene (se <a href="http://opcit.eprints.org/oacitation-biblio.html" target="_new"><span style="color: #337755;">The Effect of Open Access</span></a>).</li></ol>Inger.Lise.Wang@uin.no (Inger Lise R. Wang)stein.hoydalsvik@uit.no (Stein Høydalsvik)ma., 26 jan. 2015 15:40:01 +0100OJS 2.4.4.1http://blogs.law.harvard.edu/tech/rss60Medforfatterskap i vitenskapelige publikasjoner – regelverk og praksishttp://septentrio.uit.no/index.php/helseforsk/article/view/3318
Gabriele Kitzmüllerhttp://septentrio.uit.no/index.php/helseforsk/article/view/3318ma., 26 jan. 2015 12:41:36 +0100Nærlys på tvang og makt overfor personer med utviklingshemminghttp://septentrio.uit.no/index.php/helseforsk/article/view/3319
<p align="left"><strong><span style="font-size: medium;">Focusing at the use of coercion and force against people with intellectual disability </span></strong></p><em><em></em></em><p>The use of coercion and force against people with intellectual disability has been regulated by law in Norway since 1999. Each episode of coercion is challenging the human rights and has the potential to be an act of violation. The requirements for proceedings, ethical considerations and the requirements for professional competences, is special in Norway comparing to the other Scandinavian Countries. The article examines the notifications of coercion and the claim form from the staff working in communities with people with intellectual disability. The notifications of coercion have different approach. The attitude and the way of behavior are strongly related to the approach. The language in the notifications is strongly different. We talk about a subject-subject-relation and a subject-object-relation. It seems like there can be less use of coercion and force, if the staff involved, has the knowledge of how important the relation affect on the good interaction. The staffs own role, in preventing the need of using coercion and force, can be better recognized and improved.</p><em></em>Margunn Rommetveit, Anita Tollefsenhttp://septentrio.uit.no/index.php/helseforsk/article/view/3319ma., 26 jan. 2015 12:48:19 +0100Fagpersonells forståelse av økt registrert tvangsbruk overfor personer med utviklingshemminghttp://septentrio.uit.no/index.php/helseforsk/article/view/3320
Norwegian legislation concerning restraint measures in the care and treatment to people with intellectual disability (ID) has been established since 1999. This study examined the social workers’ explanations for the increased number of people with ID being legally restrained since 1999. This article discussed both staff and the supervisors perspectives of the increase. Although an increasingly number of people with ID are treated by restraint measures, respondents (n = 206) report that care services has evolved in a positive direction. The strong increase is explained by a higher ethical awareness and changes in legal rules along the way. When asked about the future development, most respondents expect a continuing growth in the number of people with ID treated with the use of restraint measures.Frode Dragsten, Erik Søndenaahttp://septentrio.uit.no/index.php/helseforsk/article/view/3320ma., 26 jan. 2015 13:03:10 +0100Sammenhengen mellom depresjon, mental helse og fysisk funksjon i en alderspsykiatrisk avdeling, en pilotstudiehttp://septentrio.uit.no/index.php/helseforsk/article/view/3321
<p>Patients with mental disorders are often less active than the general population and inactivity over time reduces mental and physical health. We know from previous studies that physical activity contributes to improved mental and physical health, but it is not clear whether any type of physical activity will give the same effect. The objective of this pilot study was to investigate whether the nature of the physical activity the patients participated in during their stay in a psychiatric ward would make a difference in outcome related to improved mental and physical health. Fifty patients (39 women) participated, mean age 80 years (SD 6.0), length of stat from 3 to 28 weeks (mean 8.8, SD 4.4). Patients were offered different types of physical activity and physical therapy in addition to cognitive psychotherapy and supporting conversations. They were subsequently divided into three groups (self-training, joint exercise, regular walking). We examined the difference in treatment effect with regard to general mental health, depression, balance, physical strength and walking skills. Average values showed significant improvements on all tests except for the timed walking tests. Depression scores according to the MADRS was at least one category lower on discharge than on arrival for 31 of the 36 participants. We find that older patients with moderate to severe depression benefit greatly from the treatment they receive during their stay at the age psychiatric ward. The improvements are significant both for mental and physical health. Furthermore, the findings indicate that walking appears to be a type of activity that has especially good effect on mental health.</p>Elfrid Margrete Aarseth, Maria Stylianou Korsnes, Ingun Dina Ulstein, Inger-Marie Tjernæs, Bodil A. Mcphersonhttp://septentrio.uit.no/index.php/helseforsk/article/view/3321ma., 26 jan. 2015 13:21:00 +0100Ekspressiv skriving som egenterapeutisk verktøy ett år etter brystkreftdiagnosen - resultater fra en norsk pilotstudiehttp://septentrio.uit.no/index.php/helseforsk/article/view/3322
<p>Expressive writing as a self-help tool one year after the breast cancer diagnosis – results from a Norwegian pilot study</p><p>The article presents findings from a pilot study on expressive writing, a therapeutic method undescribed in a Norwegian scientific context. Objective: 1. Gain qualitative data on breast cancer women’s experiences with expressive writing. 2. Evaluate the intervention’s feasibility, based on participants’ experiences of the instruction, procedure, and circumstances for writing. Method &amp; design: The study has an exploratory descriptive design. Data collection was achieved through in-depth interviews, followed by experiential thematic analysis of transcripts. Results: Two women enrolled, participating in writing/interviews. Analysis revealed three themes: "The experience of the writing process", "Writing as working through and work to clear the mind", "Strength and vulnerability in relation to others". Conclusion: Findings reveal that expressive writing was experienced as achievable for two breast cancer women, one year after diagnosis. Writing provided an opportunity to work through, and sort out, feelings and thoughts connected to participants’ lives and illness experiences. The instruction was evaluated as easy to understand and inspiring. The women became absorbed in electronic writing in their own homes. They both recommended expressive writing for other women with breast cancer, especially in the period after initial diagnosis.</p>Birgitta Haga Gripsrud, Håvard Søiland, Kirsten Lodehttp://septentrio.uit.no/index.php/helseforsk/article/view/3322ma., 26 jan. 2015 13:31:07 +0100Den familiære relasjonens betydning for pårørendes behov i møte med helsetjenestenhttp://septentrio.uit.no/index.php/helseforsk/article/view/3323
<p>The Significance of Family relations to Informal Carers’ Needs in interaction with Health Services</p><p>This article is based on a study aiming to explore informal carers’ needs and experiences in their contact with health services. The study was accomplished in 2011 and consisted of two sub-studies: a survey addressing informal carers in general and a focus-group study, where the participants were informal carers to one or more family members. In this article, the qualitative data from both studies are emphasised: the open written statements in the questionnaires and the focus-group interviews. The results show a similarity in informal carers’ needs and experiences independent of the patients’ diagnoses. However, we find that the needs are related to the family relation between the informal carer and patient. Particularly, there is a difference between the needs of those who are informal carers to their partner and those who care for their own parent(s) or grown children. The value of informal carers’ support also is clearly pointed out in the results. Our findings highlight the importance of professional health workers paying attention to both the informal carer and the patient, individually as well as relationally.</p>Helene Hanssen, Rita Sommersethhttp://septentrio.uit.no/index.php/helseforsk/article/view/3323ma., 26 jan. 2015 13:37:58 +0100Læring og kompetanseutvikling i kommunehelsetenesta – ein intervjustudie av kreftsjukepleiararhttp://septentrio.uit.no/index.php/helseforsk/article/view/3324
<p>Learning and competence development in community health service – an interview study of cancer nurses</p><p>The number of cancer patients is expected to increase 30% by 2020. To meet the needs of seriously ill and dying cancer patients the community health service must be strengthened. There is little knowledge about the development of competence in the community health service. The aim of this study was to get more knowledge about competence development of cancer nurses.The study has a phenomenological hermeneutical design. Data was based on eight qualitative interviews with cancer nurses. The content of daily work and the cooperation within the community of practice were found to be important. Experience, theoretical knowledge, expectations and attitudes were of importance in their learning, and this is accomplished in cooperation with others through trust, having enough time and responsibility. It will be a challenge to meet the demands to quality and competence in future cancer care. Employing advanced nurse practitioners can be a resource, strengthening quality, improving nursing and innovation.</p>Astrid Bjørnerheim Hynne, Marit Kvangarsneshttp://septentrio.uit.no/index.php/helseforsk/article/view/3324ma., 26 jan. 2015 13:43:44 +0100En kvalitativ studie av sykepleiestudenters opplevelser av nye læringsaktiviteter i kritisk vurdering av kvantitative forskningsartiklerhttp://septentrio.uit.no/index.php/helseforsk/article/view/3325
<p>A qualitative study of nursing students' experience of new learning activities in critical evaluation of quantitative research articles<strong> </strong></p><p>Evidence-Based Practice is a vital part of professional health care and nurses need to have knowledge of research. This article presents nursing students' experience with new learning activities in critical evaluation of quantitative research articles. This experience was studied in focus group interviews with second-year nursing students. The students described it as challenging to understand the various quantitative designs and statistical methods. Specific requirements in the learning activities, constructive feedback, relevance and conformity between learning activities and assessments seem to promote the targeted learning outcome. How students' knowledge and skills are received in practice seems to affect students' attitudes and behavior in relation to the application of research results. To increase evidence-based practice there appears to be a need for innovative processes that can strengthen the cooperation between the nursing education and the field of practice.</p>Cecilie Katrine Utheim Grønvik, Signe Gunn Julnes, Atle Ødegårdhttp://septentrio.uit.no/index.php/helseforsk/article/view/3325ma., 26 jan. 2015 14:08:20 +0100Praksisnær undervisning i legemiddelregning i arbeidet med å redusere testangst og styrke selvoppfattelse hos sykepleierstudenterhttp://septentrio.uit.no/index.php/helseforsk/article/view/3326
<p>Alternative teaching method in dosage calculation to reduce nursing students’ test anxiety and enhance self-concept</p><p>Norwegian nursing students must pass a drug calculation test with a flawless performance if they are to qualify as nurses. This requirement is found to increase students’ test anxiety and mathematical low self-conceptual students are highly effected. The aim of the current study is to examine if participating in a special education program benefits students with high test anxiety and low self-concept in the domain of mathematics. The participants were highly involved in both planning and conducting the alternative program which had a practical approach towards both mathematics and drug calculation. We use a mixed methods approach to examine nursing students’ experiences participating in the program, and data are collected by using survey questionnaires, participants’ evaluation and a focus group interview. Ten freshman nursing students participating in the program responded to a questionnaire pre and post intervention, including a written evaluation during the program. Finally a focus group interview was conducted two years after the intervention. The survey data show a significant change in mathematics-self-concept, however, no significant reduction in test anxiety was found, but the qualitative data from the interview suggest a reduction in anxiety and higher mathematical self-concept after participating in the program.</p>Kari Røykenes, Kari Smith, Torill M. B. Larsenhttp://septentrio.uit.no/index.php/helseforsk/article/view/3326ma., 26 jan. 2015 14:17:20 +0100Hjelpsomme relasjoner. En kvalitativ undersøkelse av samarbeidet mellom brukere med alvorlige psykiske lidelser og rusproblemer og fagpersoner i to oppsøkende teamhttp://septentrio.uit.no/index.php/helseforsk/article/view/3327
<p>Helpful relations. A quality study about the alliance between users with serious mental health problems and health care professionals in two outreach teams.</p><p>In recent years Norway has established various types of assertive outreach teams in community based mental health care. The article examines the importance of the quality of the alliance between health care professionals and users in two assertive outreach teams. More specifically, we describe the common characteristics of a good relation, pointed out by both users and professionals, and the methods that are thought to support these relationships. The study has a qualitative design and data was gathered through semi structured in-depth interviews of 19 professionals and 9 users. The study concludes that helpful relationships are characterized by contact and equality, and that interaction through everyday activities helped strengthen the working alliance. Our results confirm recent research that highlights the importance of the quality of the relationship as a prerequisite for good care, and the importance of the tacit knowledge used and informal work done by professionals interacting with users.</p>Turid Møller Olsø, Arve Almvik, Reidun Norvollhttp://septentrio.uit.no/index.php/helseforsk/article/view/3327ma., 26 jan. 2015 14:30:37 +0100Selvmordsforebyggelse: Inddragelse af pårørendehttp://septentrio.uit.no/index.php/helseforsk/article/view/3328
<p>Preventing suicide: Involvement of relatives</p><p>In addition to the devastating consequences of suicide attempt and suicide contemplation, suicidal behavior also has dramatic consequences for family and loved ones. However, close connections may play an important role in the prevention of suicide if they are capable of aiding the mental health care services with early detection and management. To do so, they should be informed and given the right tools. This article sums up existing knowledge and recommendations on the topic but further studies are needed before definite conclusions can be drawn.</p>Jens Peter Dam Eckardt Jensenhttp://septentrio.uit.no/index.php/helseforsk/article/view/3328ma., 26 jan. 2015 14:36:06 +0100Nyutdannede jordmødres vurdering av utdanning, klinisk kompetanse og arbeidsforholdhttp://septentrio.uit.no/index.php/helseforsk/article/view/3329
<p>Newly qualified midwives’ self-assessment of education, clinical competence and working conditions</p><p>In Norway, post-graduate nursing programmes are being transformed into master programmes. This occurs without previous evaluation of the study programmes. The level of competence and the requirements of newly qualified are being discussed, and a mentoring programme has been suggested to ensure follow-up and development of clinical competence. In central parts of the country, newly qualified midwives have difficulties getting a permanent full time position, which affects their possibilities to develop clinical competence. An evaluation study of the midwifery program at Vestfold University College has been performed to assess its relevance for professional work, as well as mapping the respondents’ working conditions and their self-assessment of clinical competence. The method used was a survey. The respondents rate the program as good. They lack competence to manage complicated conditions related to the perinatal period, and are inadequate when it comes to issues related to women’s sexual heath. These midwives work part-time, and it may take years to get a permanent position. They rate the follow-up as newly qualified as satisfying, yet they do not feel sufficiently confident during clinical practice. Comprehensive national midwifery competence will require more full time positions and better follow-up of newly qualified. To lay the basis for the content in master programmes, there is a need for a national evaluation of the midwifery programmes and a review of the professional competence of newly qualified.</p>Mari Landsverk Hagtvedt, Tine Schauer Erihttp://septentrio.uit.no/index.php/helseforsk/article/view/3329ma., 26 jan. 2015 14:40:38 +0100Forbedring av rutiner rundt pasienter med vagusnervestimulatorhttp://septentrio.uit.no/index.php/helseforsk/article/view/3330
<p>Improving routines for patients with vagus nerve stimulation</p><p>Background: Vagus Nerve Stimulator (VNS) is a form of therapy which may reduce the frequency of seizures in people with epilepsy, who do not achieve remission with antiepileptic drugs. A corresponding magnet providing an additional dose of stimulation may stop or shorten the intensity of the seizure.</p><p>Objective Investigate the practice and procedure regarding use and storage of a VNS Therapy magnet, to see whether introduction of a new routine with a permanent seat for VNS magnet may contribute to increased availability of the magnet.</p><p>Method Registration of the magnets location was performed before, and after the magnetic board intervention. In addition staff answered a questionnaire related to experiences around storage of magnet.</p><p>Results The number of not located magnets dropped from 70% to 25 % after the intervention.</p><p>Conclusion A magnetic board as a storage area for VNS magnet on the patient's room increases the availability of the magnet.</p>Christine Tørris, Kari Helen Schøyen, Elin Merete Wiklundhttp://septentrio.uit.no/index.php/helseforsk/article/view/3330ma., 26 jan. 2015 15:07:11 +0100Implementering av forskningsbasert bacheloreksamen i sykepleie – prosess og erfaringhttp://septentrio.uit.no/index.php/helseforsk/article/view/3331
<p>Implementation of a research-based bachelor thesis in nursing – process and experiences</p><p>Background: Ability to ensure quality and to evaluate own practice of nursing, is essential in order to practice a research based health care. An increase of research skills among future nurses, are thus central. The aim of this paper is to describe experiences connected with implementation of a new research-based model for examination of bachelor thesis in bachelor degree in nursing at Molde University College, Norway.</p><p>Results: The curriculum has gained a clearer focus on science and research, and informative guidelines have been developed. The final bachelor thesis is now consisting of a systematic literature review based on scientific articles. The auditorium as a learning arena in the form of a thesis defence contributes to awareness of importance of research for nursing.</p><p>Conclusion: The introduction of a new research based model for the bachelor thesis has strengthened the academic environment. Currently, Bachelor of Nursing has a clear focus on research and development. Newly qualified nurses are well placed to work knowledge based and to participate in development of clinical practice.</p>Ragnhild Michaelsen, Torill Skrondal, Ingela Thylénhttp://septentrio.uit.no/index.php/helseforsk/article/view/3331ma., 26 jan. 2015 15:36:11 +0100Ydmykelsens alvorlige karakterhttp://septentrio.uit.no/index.php/helseforsk/article/view/3332
Marit F. Svindsethhttp://septentrio.uit.no/index.php/helseforsk/article/view/3332ma., 26 jan. 2015 15:38:26 +0100